Effects of Hypnosis Therapy on Outcomes in Shoulder Replacement Therapy

NCT04889833 | Completed

• 1 other identifier: 1.0 - 20203698
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to collect information to evaluate the role of the psychogenic component of pain induced by anxiety on postoperative outcomes in major orthopaedic surgery and to determine whether hypnosis therapy provided during the perioperative period will lead to decreased use of opioid therapy. Patients are randomly assigned to one of two treatment groups: (I) usual care, or; (II) hypnotherapy treatment. Patients have an equal chance of being assigned to one of the two groups.

Conditions

Anxiety; Opioid Use

Keywords

hypnosis; shoulder arthroplasty

Outcome Measures

Primary Outcomes (3)

• Change in Perioperative Anxiety

  Patient-reported anxiety in the perioperative period

  7 days before surgery, day of surgery, 7 days after surgery

• Change in Perioperative Pain

  Patient-reported pain in the perioperative period

  7 days before surgery, day of surgery, 7 days after surgery

• Change in Opioid Consumption

  Patient-reported opioid consumption in the perioperative period

  7 days after surgery, postoperative day 10, postoperative day 49

Secondary Outcomes (1)

• Change in Anxiolytic Consumption

  7 days after surgery, postoperative day 10, postoperative day 49

Study Arms (2)

Hypnosis Therapy Group

EXPERIMENTAL

Patients will receive questionnaires to establish their attitudes/beliefs toward hypnosis, baseline pain, anxiety, \& shoulder function. 7 days before surgery, they will receive a pre-recorded video (\~19 min) of guided hypnosis to be watched at least 1x/day, until surgery. Before \& after the video, they will rate pain/anxiety levels. On the day of surgery, they will watch the video again \& answer questions about their average anxiety and pain level. After surgery, they will watch the video each day and report on pain/anxiety, medication use, satisfaction, and sleep disturbance until postoperative day 7. Postoperative course will be otherwise completely standard of care, including a clinic visit at 10 days after surgery, where they will be given these same questionnaires. Patients will answer them again on postoperative day 49, constituting a study endpoint. Access to pain medication \& study doctor will be the same as any shoulder arthroplasty patient regardless of study participation.

Behavioral: hypnosis therapy

Usual Care Group

NO INTERVENTION

Patients will receive questionnaires to establish their attitudes/beliefs toward hypnosis, baseline pain, anxiety, \& shoulder function. 7 days before surgery, they will receive a daily questionnaire about their pain \& anxiety over the last 24 hours. On the day of surgery, before they are given any anesthesia, they will answer questions about their average anxiety \& pain levels. Starting the next morning on the day following surgery and every day for the subsequent week, they will be given questionnaires about their pain \& anxiety levels, medication use, satisfaction, and sleep disturbance due to pain. Their postoperative course will be otherwise completely standard of care, including a first postoperative clinic visit at 10 days after surgery, where the patients will be given these same questionnaires. Finally, patients will answer them one more time on postoperative day 49 and this will constitute a study endpoint. The whole process each day should take approximately 10 minutes.

Interventions

hypnosis therapy BEHAVIORAL

Pre-recorded hypnosis therapy audio recording with accompanying visual of a calm ocean to be played at least once daily for 7 preoperative days, the day of surgery, and for 7 days postoperatively.

Also known as: hypnotherapy

Hypnosis Therapy Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• diagnosis of primary shoulder osteoarthritis, massive cuff tear arthropathy, and rotator cuff arthropathy requiring a primary total or reverse shoulder replacement,
• the ability to read, speak, and understand English
• the ability and willingness to use a web-based application (OBERD) on a smartphone, pad, or computer, and
• years of age or older.

You may not qualify if:

• shoulder replacement for the treatment of acute proximal humerus fractures
• hemiarthroplasty
• revision shoulder replacement
• patients with active cancer or receiving palliative care
• Less than 18 years of age

Sponsors & Collaborators

• Foundation for Orthopaedic Research and Education: lead

Study Sites (1)

Florida Orthopaedic Institute

Tampa, Florida, 33637, United States

Location

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Hypnosis

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Mark A Frankle, MD

  Florida Orthopaedic Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 7, 2021
• First Posted: May 17, 2021
• Study Start: December 19, 2020
• Primary Completion: December 1, 2023
• Study Completion: December 1, 2023
• Last Updated: April 1, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)